Liu Rui,Zheng Zebing,Gao Mingjuan,et al.A single center study of thoracoscopic surgery and traditional open surgery for neonatal congenital diaphragmatic hernia[J].Journal of Clinical Pediatric Surgery,,22():18-22.[doi:10.3760/cma.j.cn101785-202203079-004]
A single center study of thoracoscopic surgery and traditional open surgery for neonatal congenital diaphragmatic hernia
- Keywords:
- Thoracoscopes; Hernias; Diaphragmatic; Congenital; Infant; Newborn; Surgical Procedures; Operative
- Abstract:
- ObjectiveTo compare the clinical efficacy,safety and efficacy of thoracoscopy versus traditional open surgery for congenital diaphragmatic hernia (CDH).MethodsFrom June 2013 to June 2020,a total of 37 CDH children with admitted were selected as research objects and divided into two groups of endoscopic (n=24) and open (n=13) according to surgical approaches.Major outcomes included recurrence rate,length of hospital stay,operation duration,postoperative mechanical ventilation time,postoperative lactation time and target feeding time.Secondary outcomes included incision infection,intraoperative blood loss and hernia diameter.ResultsGeneral profiles and hernia characteristics were similar in two groups.Length of hospital stay[(13.46±2.41) vs.(18.77±2.89) days],postoperative mechanical ventilation time[(3.81±0.80) vs.(5.98±1.06) days],postoperative open milking time[(4.35±1.03) vs.(7.46±1.45) days]and time to reach target feeding[(8.33±1.74) vs.(13.38±2.22) days].The differences were statistically significant (P<0.001);Recurrence rate[(4.2%,1/24) vs.(7.7%,1/13) days]was not statistically significant (P=1.000);One child died in open group and there was no mortality in thoracoscopic group.ConclusionThoracoscopic CDH repair offers the advantages of shorter operative duration,minimal trauma,cosmetic incision,faster postoperative recovery and lower recurrence rate.It is a safe and effective surgical option for CDH.
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Memo
收稿日期:2022-03-25。
基金项目:国家自然科学基金(81760099)
通讯作者:金祝,Email:915884700@qq.com